THIS DOCUMENT AFFECTS YOUR LEGAL RIGHTS
BY SIGNING THIS DOCUMENT YOU GIVE UP YOUR RIGHT TO SUE
Thunder Bay Emergency Shelter Inc. (“Shelter House”) and its directors, officers, employees, representatives, officials
and agents (collectively referred to as the “Releasees”)
I wish to volunteer at Shelter House. As a volunteer I may work in the kitchen preparing and serving food. I may engage
in clean-up in the kitchen or elsewhere. I may load and unload supplies. I may participate or volunteer in offsite
fundraising events. Irrespective of which volunteer duties I am assigned, I will be in regular contact with the homeless
population that Shelter House serves and other volunteers.
I understand that Shelter House services the homeless population of Thunder Bay. I am aware that the population that
Shelter House serves live in extreme poverty. Those who live in extreme poverty often suffer from: mental and/or
physical illness, lack of access to regular medical care and over-representation in the criminal justice system. The
clientele of Shelter House can be unpredictable and volatile.
I am aware that volunteers at Shelter House are welcome irrespective of whether they have a criminal record. I am
aware that I may be volunteering with individuals who have been convicted of crimes under the Criminal Code.
I understand that my decision to volunteer at Shelter House has the potential to put me at risk of death, injury, illness,
loss or damage to my person or property because of the nature of the work of Shelter House and the population it
serves. I accept these risks and agree to release, save harmless and indemnify the Releasees from and against any and
all claims, actions, costs, expenses, demands, complaints of any kind whatsoever in respect of liability for any death,
illness, injury, loss or damages of any kind whatsoever that my person or property may suffer while acting as a volunteer
for Shelter House or arising from my decision to act as a volunteer for Shelter House or arising from any negligence on
the part of the Releasees.
I agree that this Release and Indemnity shall bind myself, my heirs, executors, administrators and assigns. I have read
this Release and Indemnity and I understand it. I understand that this Release and Indemnity eliminates my right to
take legal action against the Releasees for death, illness, injury, loss or damages of any kind whatsoever that I suffer or
my property suffers arising from or relating in any way to my decision to volunteer or participate in activities with
Furthermore, I hereby grant Shelter House the irrevocable right to use in any way they see fit, for the purpose of
publicizing and advertising without restriction, me and my child(ren)’s name, face and/or voice.